JONATHAN B ROTH LLC
NPI: 1871891853
· EDMOND, OK 73013
· Pediatrics Physician
· NPI assigned 03/01/2011
$395K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
585 |
$70K |
| 2019 |
581 |
$68K |
| 2020 |
520 |
$61K |
| 2021 |
470 |
$58K |
| 2022 |
478 |
$68K |
| 2023 |
409 |
$56K |
| 2024 |
92 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
3,019 |
3,010 |
$379K |
| 99205 |
Prolong outpt/office vis |
88 |
88 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
28 |
$2K |